401k Plan data: MCCLURE-JOHNSTON GROUP LIFE INS PLAN plan

MCCLURE-JOHNSTON GROUP LIFE INS PLAN 401k Plan overview

Plan Name	MCCLURE-JOHNSTON GROUP LIFE INS PLAN
Plan identification number	502

MCCLURE-JOHNSTON GROUP LIFE INS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

MCCLURE-JOHNSTON COMPANY has sponsored the creation of one or more 401k plans.

Company Name: MCCLURE-JOHNSTON COMPANY

Employer identification number (EIN): 251236403

NAIC Classification: 423300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MCCLURE-JOHNSTON GROUP LIFE INS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2012-03-01 WILLIAM F OXENREITER III
502 2011-03-01 WILLIAM F OXENREITER III
502 2010-03-01 WILLIAM F OXENREITER III
502 2009-03-01 WILLIAM F OXENREITER III

Plan id#	Filing Submission Date	Name of Administrator
502	2012-03-01	WILLIAM F OXENREITER III
502	2011-03-01	WILLIAM F OXENREITER III
502	2010-03-01	WILLIAM F OXENREITER III
502	2009-03-01	WILLIAM F OXENREITER III

Plan Statistics for MCCLURE-JOHNSTON GROUP LIFE INS PLAN

401k plan membership statisitcs for MCCLURE-JOHNSTON GROUP LIFE INS PLAN

Measure Date Value
2012: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 125
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 148
Total of all active and inactive participants 2012-03-01 148
2011: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-03-01 170
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 125
Total of all active and inactive participants 2011-03-01 125
2010: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-03-01 126
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 170
Total of all active and inactive participants 2010-03-01 170
2009: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 125
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 126
Total of all active and inactive participants 2009-03-01 126

Measure	Date	Value
2012: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	125
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	148
Total of all active and inactive participants	2012-03-01	148
2011: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-03-01	170
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	125
Total of all active and inactive participants	2011-03-01	125
2010: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-03-01	126
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	170
Total of all active and inactive participants	2010-03-01	170
2009: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	125
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	126
Total of all active and inactive participants	2009-03-01	126

Form 5500 Responses for MCCLURE-JOHNSTON GROUP LIFE INS PLAN

2012: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	This submission is the final filing	Yes
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes
2011: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes
2010: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	Plan funding arrangement – Insurance	Yes
2010-03-01	Plan benefit arrangement – Insurance	Yes
2009: MCCLURE-JOHNSTON GROUP LIFE INS PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	This submission is the final filing	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

FHM2217PA

Policy instance

Insurance contract or identification number	FHM2217PA
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $1,495
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $21,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,495
Insurance broker organization code?	3
Insurance broker name	RICHARD JOSEPH

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

FHM2217PA

Policy instance

Insurance contract or identification number	FHM2217PA
Number of Individuals Covered	125
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $1,887
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $23,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

FHM2217PA

Policy instance

Insurance contract or identification number	FHM2217PA
Number of Individuals Covered	170
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $2,026
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $28,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MCCLURE-JOHNSTON COMPANY
Employer identification number (EIN):	251236403
NAIC Classification:	423300